Remote Facility Site Review Nurse - Quality & Compliance
Santa Barbara Cottage Hospital
Molina Healthcare is seeking an LVN/LPN field reviewer to conduct onsite, virtual and desktop reviews across multiple provider settings. Under supervision, you will use clinical judgement to align with local/state/federal requirements and Molina policies, developing reports and identifying opportunities for program improvement.
Travel 50-75% is required, with 3-4 field days weekly; some locations may include overnight travel.
#J-18808-Ljbffr- ...our Utilization Review RN, you will... ...reviews, ensuring compliance with... ...commitment to quality care and fiscal... ...Collaborates with facility RN Care Coordinators... ...position is open to remote/out of state... ...Associate's Degree in Nursing Minimum two... ...than 700 care sites across the U.S....Remote workWebsiteFacilities
$61.05k - $98.33k
...The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Collects supporting...Remote workWebsiteFacilitiesMinimum wageFull timeWork at officeLocal areaFlexible hours$44 per hour
...Clinical Review Nurse - Prior Authorization Various... ...Various, NV All On-site Location: Fully Remote – Prefer Candidates... ...team to promote quality and cost effectiveness... ...levels of care and facilities Collects,... ...systems to ensure compliance with regulatory guidelines...Remote workWebsiteFacilitiesPermanent employmentContract workLive inShift work- ...Category: Medical / Health - Nurse Leadership Baltimore... ...and skilled nursing facility, backed by the strength... ...with a focus on quality, efficiency, and fiscal... ...Champion quality & compliance - ensure adherence to... ...Wellness programs and free on-site parking A workplace...Remote workWebsiteFacilitiesFull timeRelocation packageDay shift
$41.36 - $100 per hour
...Site: Brigham and Women's Faulkner Hospital... ...doctors, nurses, business people,... ...Perform utilization review to evaluate for appropriate... ...and monitor for quality issues and... ...choices of post acute facilities or service and signature... ...call it home. Remote Type Onsite Work Location...Remote workWebsiteFacilitiesHourly payDaily paidShift workWeekend work- ...experienced Registered Nurse (RN) or Licensed... ...combines on-site resident care... ...with remote administrative and... ...of practice Review and assist with... ...Assist with quality assurance and compliance-related responsibilities... ...developed based on facility needs and the selected...Remote workWebsiteFacilitiesFull timePart timeImmediate startFlexible hours
$135k - $150k
...Mental Health Nurse Practitioner (PMHNP... ...travel between sites. The PMHNP also... ...regulatory compliance, and delivers monthly... ..., with remote work utilized as... ...residents across all facility types.... ...meetings and case reviews. Support transitions... ...questions. Quality Assurance & Compliance...Remote workWebsiteFacilitiesLocal areaFlexible hours$29 - $52 per hour
...Integrity Clinical Compliance AuditorOptum... ...risk management, quality and revenue growth... ...performing compliance reviews of medical and... ...Analyst will conduct site visits and desk... ...This position is Remote in Massachusetts.... ..., for example, nursing facility care delivery/administration...Remote workWebsiteFacilitiesHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work$76k
...a BPO Clinical Review Specialist to join... ...ensures compliance with organizational... ...delivering high-quality appeal... ...Position is fully remote only in the state... ...Active Registered Nurse (RN) license required... ..., healthcare facilities, Medical... ...offices or client sites. This ensures we...Remote workWebsiteFacilitiesPermanent employmentTemporary workLive inWork at officeImmediate startRelocationFlexible hours- ...Specialty Nurse/RNWorking Title - Clinical... ...(CRU) provides facilities and resources to... ...clinical environments.Review and provide sound... ....Participate in site initiation visits... ...maintain nursing quality and compliance with each project... ...for Remote Work - NoApplication...Remote workWebsiteFacilitiesFull timeTemporary workWork visa
$9.6k
...Benefits Eligible: Yes Remote Eligible: No... ...-of-the-art facilities, like the newly... ...(which includes nurse practitioners and... ...adherence to safety and quality programs, sustaining compliance with National... ...Investigational Review Board (IRB), and... ...be: Direct on-site, electronic or...Remote workWebsiteFacilitiesHourly payFull timeImmediate startShift workNight shift$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare... ...Collaborate on post discharge care and facility transfers. • Manage 15•20 adult patient... ...provided, onsite fit testing • On•site parking • EMR: Epic Join us to enhance...WebsiteFacilitiesFull timeContract workLocal areaImmediate startShift workDay shift- ...Management (UM) Registered Nurse to support outpatient utilization review and prior... ...while maintaining compliance with regulatory standards... ..., and healthcare facilities.Participate in... ...Monitor cases for quality, compliance, and... ...independently in a remote environment....Remote workFacilitiesContract work
$21 per hour
...claim for further review in a production environment... ...professional (or facility) claims vs.... ...state and federal compliance policies,... ...Certificate and/or Nursing Licensure Complete... ...Ability to work on-site at San Juan, PR. Work... ...change to hybrid or remote after the 8-week...Remote workWebsiteFacilitiesHourly payFull timeContract workTemporary workMonday to Friday- ...of our clients and the people they serve. Location: Remote with on‑site visits across Illinois Position Overview The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations, quality standards, and program requirements. This role...Remote workWebsiteH1bWork at officeFlexible hours
$77.04k - $115.55k
...the Hospice Registered Nurse provides professional... ...Director, and in compliance with the state's Registered... ...Clinical Director to review assignments and with... ...to patient's home/facility in a reliable vehicle... ...in a workday. Remote Type: On-site Salary Range:...Remote workWebsiteFacilitiesWeekend workAfternoon shift$9.6k
...Eligible: Yes Remote Eligible: No... ...state-of-the-art facilities, like the newly... ...of the job. Nurse Practitioner (NP... ...adherence to safety and quality programs, sustaining compliance with National... ...Investigational Review Board (IRB), and... ...: Direct on-site, electronic or...Remote workWebsiteFacilitiesHourly payFull timeImmediate startShift work$58 - $65 per hour
...The Registered Nurse (RN) is a professional... ...compassionate, quality care to the... ...multiple sites across our network... ...units within the facility as needed.... ...accordingly Maintain compliance with legal and... ...Pay rates are reviewed quarterly and... ...applying for a remote or hybrid role,...Remote workWebsiteFacilitiesHourly payPrice workFull timeLocal areaShift work$7.25 per hour
...The Registered Nurse (RN) is a professional... ...compassionate, quality care to the... ...multiple sites across our network... ...units within the facility as needed.... ...accordingly Maintain compliance with legal and... ...Pay rates are reviewed quarterly and... ...applying for a remote or hybrid role,...Remote workWebsiteFacilitiesHourly payPrice workFull timeLocal areaShift work- ...RN Health Care Facility Surveyor - AlabamaImpact... ...an opening with a Quality Improvement... ...position is 100% remote with up to 75% travel... ...surveys to assess compliance with requirements... ...for conducting on-site surveys. Specific... ...observation of care, record review, interviews of...Remote workWebsiteFacilitiesWork at office
- ...Description Clinical Review Manager Compensation... ...Type: Full-time, on-site, Monday - Friday, with... ...accuracy, regulatory compliance, appropriate utilization... ...orders. Quality and Compliance ~ Monitor... ...which the company has facilities. This policy applies to...WebsiteFacilitiesBi-weekly payFull timeTemporary workLocal areaMonday to FridayShift work
- ...Consultant to provide remote reimbursement, MDS, PDPM... ...term care and skilled nursing facilities. This position will... ...case mix, regulatory compliance, and strong... ...will be required for on-site audits, training, clinical reimbursement review, and team support....Remote workWebsiteFacilitiesHourly payLocal areaNight shift
- ...MDS Coordinator/Registered Nurse Assessment Coordinator (RNAC)The position is on site at the facility, and remote work will not be considered... ...Wellness Center is a 4-star quality facility, offering a... ...Managed Care and concurrent reviews.Must successfully complete...Remote workWebsiteFacilitiesDaily paidFull timeLocal areaMonday to FridayDay shift
- ...delivery at multiple sites. The individual... ...with physicians and nurse practitioners to... ...assessments, systems review, medication... ...direct and indirect quality care for patients... ...medical supplies at facilities to maintain adequate... ...from these remote locations Document...Remote workWebsiteFacilities
$3,068 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Omaha... ...and intensivist teams are on-site 24/7, with cardiology on call... ...telemetry strips, with support from remote telemetry technicians. Shifts... ...travel jobs at the best facilities across all 50 states. We offer...Remote workWebsiteFacilitiesFull timeContract workShift workNight shift$34.32 - $58.9 per hour
...Infusion Registered Nurse LeadJob Code: RN1... ...or infusion site issues.Demonstrate... ...venous devices.Ensure compliance with infection... ...-making.Uphold quality control measures... ...data on patients.Reviews patient records.Performs... ...buildings, remote facilities, and out of town...Remote workWebsiteFacilitiesHourly payFull timeWork experience placementImmediate startShift work$60k - $110k
...including skilled nursing facilities, sub acute units,... ...days on-site at partner LTACs... ...follow-up tasks remotely on non-onsite days... ...ensuring continuity, compliance, and strong communication... ...to Presidium. Review provider discharge... ...in internal quality-improvement initiatives...Remote workWebsiteFacilitiesFull timeWork from homeShift work- ...for a Registered Nurse who provides nursing... ...injured at work facilities. Location: Palmdale, CA 93550 (On-site) Position: Registered... ...recordkeeping in compliance with OSHA... ...transitional duty program; Reviews return to work... ...Integrity Specialist - Remote Registered Nurse -...Remote workWebsiteFacilitiesFull timeFixed term contractWork at officeWork from homeFlexible hoursShift workNight shiftAfternoon shift
- ...as a Regional Nurse to ensure clinical... ...in assigned facilities in accordance with... ...provision of quality, compassionate... ...residents, ongoing compliance with all... ...with any and all sited deficiencies related... ...on site and remote audits to confirm... ..., remote reviews, mock surveys,...Remote workWebsiteFacilitiesFull timeWork experience placementLocal areaImmediate startDay shift
$72.8k - $130k
...Senior Clinical Quality of Care RNAt UnitedHealthcare... ...care (QOC) investigation, review and management of the... ...position is an Arizona based remote position with the... ...with external customers, facilities and providers to... ...communication skillsOccasional on-site provider visits may be...Remote workWebsiteFacilitiesMinimum wageFull timeFor contractorsWork experience placementWork at officeLocal area
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